Form preview

Get the free 2016 Form 1099-SA. Distributions From an HSA, Archer MSA, or Medicare Advantage MSA

Get Form
Instructions for Recipient Distributions from a health savings account (HSA), Archer medical savings account (MSA), or Medicare Advantage (MA) MSA are reported to you on Form 1099SA. File Form 8853
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign 2016 form 1099-sa distributions

Edit
Edit your 2016 form 1099-sa distributions form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your 2016 form 1099-sa distributions form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit 2016 form 1099-sa distributions online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit 2016 form 1099-sa distributions. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
It's easier to work with documents with pdfFiller than you could have believed. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out 2016 form 1099-sa distributions

Illustration

How to fill out 2016 form 1099-sa distributions

01
Gather all necessary information and documentation related to your 2016 form 1099-SA distributions.
02
Start by providing your personal information including your name, address, and social security number.
03
Proceed to report the total amount of distributions you received in box 1.
04
If applicable, enter any excess contribution amounts from previous years in box 2.
05
Report any earnings or gains on your distributions in box 3.
06
Indicate if any distributions were used for qualified medical expenses in box 4.
07
Leave box 5 blank if you received the distributions as a result of an Archer MSA transfer.
08
If you received any distributions as part of a rollover, enter the rollover amount in box 6.
09
Check the appropriate box in box 7 if you received any reimbursements.
10
Report any distributions that are considered early distributions or taxable in box 8.
11
Finally, sign and date the form before mailing it to the designated address according to the instructions provided.

Who needs 2016 form 1099-sa distributions?

01
Individuals who received distributions from a Health Savings Account (HSA) or an Archer Medical Savings Account (Archer MSA) in 2016 will need to file form 1099-SA.
02
This form is necessary for taxpayers who received distributions for qualified medical expenses and individuals who had any taxable distributions.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
30 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller has made filling out and eSigning 2016 form 1099-sa distributions easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.
The easiest way to edit documents on a mobile device is using pdfFiller’s mobile-native apps for iOS and Android. You can download those from the Apple Store and Google Play, respectively. You can learn more about the apps here. Install and log in to the application to start editing 2016 form 1099-sa distributions.
You certainly can. You can quickly edit, distribute, and sign 2016 form 1099-sa distributions on your iOS device with the pdfFiller mobile app. Purchase it from the Apple Store and install it in seconds. The program is free, but in order to purchase a subscription or activate a free trial, you must first establish an account.
Form 1099-SA is used to report the distributions from Health Savings Accounts (HSAs), Archer Medical Savings Accounts (Archer MSAs), or Medicare Advantage Medical Savings Accounts (MA MSAs).
The financial institution that administers the HSA, Archer MSA, or MA MSA is required to file form 1099-SA distributions from.
To fill out form 1099-SA, the financial institution must report the recipient's name, address, SSN, the distribution amount, any earnings, and the type of account.
The purpose of form 1099-SA is to report distributions from HSAs, Archer MSAs, and MA MSAs to the IRS and the account holder.
The information that must be reported on form 1099-SA includes the recipient's personal information, the distribution amount, earnings, and the account type.
Fill out your 2016 form 1099-sa distributions online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.